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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Palliative Care and Support for Persons with HIV/AIDS in 7 African Countries: Implementation Experience and Future Priorities
American Journal of Hospice and Palliative Medicine, Volume 29, No. 4, Year 2012
Notification
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Description
To combat morbidity and mortality from the worldwide epidemic of the human immunodeficiency virus (HIV), the United States Congress implemented a President's Emergency Plan for AIDS Relief (PEPFAR) in 30 resource-limited countries to integrate combination antiretroviral therapy (ART) for both prevention and cure. Over 35% of eligible persons have been successfully treated. Initial legislation cited palliative care as an essential aspect of this plan but overall health strengthening became critical to sustainability of programing and funding priorities shifted to assure staffing for care delivery sites; laboratory and pharmaceutical infrastructure; data collection and reporting; and financial management as individual countries are being encouraged to assume control of in-country funding. Given infrastructure requisites, individual care delivery beyond ART management alone has received minimal funding yet care remains necessary for durable viral suppression and overall quality of life for individuals. Technical assistance staff of one implementing partner representing seven African countries met to clarify domains of palliative care compared with the substituted term "care and support" to understand potential gaps in on-going HIV care. They prioritized care needs as: 1) mental health (depression and other mood disorders); 2) communication skills (age-appropriate disclosure of HIV status); 3) support of care-providers (stress management for sustainability of a skilled HIV workforce); 4) Tied Priorities: symptom management in opportunistic infections; end-of-life care; spiritual history-taking; and 5) Tied Priorities: attention to grief-related needs of patients, their families and staff; and management of HIV co-morbidities. This process can inform health policy as funding transitions to new priorities. © The Author(s) 2012.
Authors & Co-Authors
Alexander, Carla S.
United States, Baltimore
University of Maryland School of Medicine
Memiah, Peter T.N.
United States, Baltimore
University of Maryland School of Medicine
Henley, Yvonne
United States, Baltimore
University of Maryland School of Medicine
Kaiza-Kangalawe, Angela
United States, Baltimore
University of Maryland School of Medicine
Shumbusho, Anna Joyce
United States, Baltimore
University of Maryland School of Medicine
Obiefune, Michael C.
United States, Baltimore
University of Maryland School of Medicine
Enejoh, Victor
United States, Baltimore
University of Maryland School of Medicine
Stanis-Ezeobi, Winifred
United States, Baltimore
University of Maryland School of Medicine
Eze, Charity
United States, Baltimore
University of Maryland School of Medicine
Odion, Ehekhaye
United States, Baltimore
University of Maryland School of Medicine
Akpenna, Donald
United States, Baltimore
University of Maryland School of Medicine
Effiong, Amana
United States, Baltimore
University of Maryland School of Medicine
Miriti, Kenneth
United States, Baltimore
University of Maryland School of Medicine
Aduda, Samson
United States, Baltimore
University of Maryland School of Medicine
Oko, John Okpanachi
Nigeria, Abuja
Catholic Relief Services
Melaku, Gebremedhin D.
United States, Baltimore
University of Maryland School of Medicine
Baribwira, Cyprien
United States, Baltimore
University of Maryland School of Medicine
Umutesi, Hassina
United States, Baltimore
University of Maryland School of Medicine
Shimabale, Mope
United States, Baltimore
University of Maryland School of Medicine
Mugisa, Emmanuel
United States, Baltimore
University of Maryland School of Medicine
Amoroso, Anthony
United States, Baltimore
University of Maryland School of Medicine
Statistics
Citations: 21
Authors: 21
Affiliations: 2
Identifiers
Doi:
10.1177/1049909111419292
ISSN:
10499091
Research Areas
Disability
Health System And Policy
Infectious Diseases
Mental Health
Study Design
Grounded Theory